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General NPI Number Information
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NPI Number | 1467660399
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Entity Type | Individual
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Provider Name | KRISTIE A FITZGERALD B.S., PHARM
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | UTAH VALLEY REGIONAL MEDICAL CENTER 1034 NORTH 500 WEST
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City | PROVO
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State | UT
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Zip | 84604-3305
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Country | US
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Telephone | 801-357-3095
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Fax | 801-370-9061
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Provider Business Mailing Address
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Address Line | 2414 CHAPEL RIM CIR
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-7922
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Country | US
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Telephone | 801-571-1120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 143394-1701
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License Number State | UT
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